Iprostate biopsy

I-Prostate biopsy kukususwa kweesampulu ezincinci zethambo leprostate ukuyivavanya ngeempawu zomhlaza webele.

IProstate yincindi encinci, enobukhulu be-walnut phantsi nje kwesinyi. Isonga i-urethra, ityhubhu ekhupha umchamo ngaphandle komzimba. Idlala lobudoda lenza amadlozi, ulwelo oluthwala amadlozi.

Zintathu iindlela eziphambili zokwenza iprostate biopsy.

Utshintsho lwe-biopsy ye-Prostate - nge-rectum. Le yeyona ndlela iqhelekileyo.

• Uya kucelwa ukuba ulale uzolile ngecala uguqe ngamadolo.
• Umboneleli wokhathalelo lwempilo uya kufaka iprosesa enobukhulu bomnwe kwi-rectum yakho. Unokuziva ungonwabanga okanye uxinzelelo.
• I-ultrasound ivumela umboneleli ukuba abone imifanekiso yeprostate. Usebenzisa le mifanekiso, umboneleli uya kufaka intsholongwane iyeza elijikelezayo leprostate.
• Emva koko, usebenzisa i-ultrasound ukukhokela inaliti ye-biopsy, umboneleli uya kufaka inaliti kwi-Prostate ukuze athathe isampulu. Oku kunokubangela uvakalelo olufutshane.
• Malunga nesampulu ezili-10 ukuya kweli-18 ziyakuthathwa. Baza kuthunyelwa elebhu ukuvavanywa.
• Yonke le nkqubo iya kuthatha malunga nemizuzu eli-10.

Ezinye iindlela zeprotate biopsy zisetyenzisiwe, kodwa hayi rhoqo. Oku kubandakanya:

Ugqithiso - ngokusebenzisa urethra.

• Uyakufumana iyeza lokukwenza wozele ukuze ungaziva zintlungu.
• Ityhubhu eguqukayo enekhamera ekugqibeleni (i-cystoscope) ifakwe ngokuvulwa komchamo kwincam yelungu lobudoda.
• Iisampulu zeethishu ziqokelelwe kwi-Prostate ngokusebenzisa umda.

Ngqo - nge-perineum (ulusu phakathi kwe-anus kunye ne-scrotum).

• Uyakufumana iyeza lokukwenza wozele ukuze ungaziva zintlungu.
• Inaliti ifakwe kwi-perineum ukuqokelela izicubu zeprostate.

Umboneleli wakho uya kukwazisa malunga nomngcipheko kunye nezibonelelo ze-biopsy. Kuya kufuneka usayine ifom yemvume.

Kwiintsuku ezininzi ngaphambi kokuba kwenziwe i-biopsy, umboneleli wakho unokukuxelela ukuba uyeke ukuthatha nayiphi na:

• I-Anticoagulants (iziyobisi ezinciphisa igazi) ezinjenge-warfarin, (Coumadin, Jantoven), clopidogrel (Plavix), apixaban (Eliquis), dabigatran (Pradaxa), edoxaban (Savaysa), rivaroxaban powder (Xarelto), okanye aspirin
• Ii-NSAID, ezinje nge-aspirin kunye ne-ibuprofen
• Izongezo zemifuno
• Iivithamini

Qhubeka nokuthatha nawaphi na amayeza kagqirha ngaphandle kokuba umboneleli wakho akakuxeleli ukuba ungawasebenzisi.

Umboneleli wakho unokucela ukuba:

• Yitya ukutya okulula kuphela kusuku olungaphambi kovalo.
• Yenza i-enema ekhaya ngaphambi kwenkqubo yokucoca i-rectum yakho.
• Thatha amayeza okubulala iintsholongwane kusuku olungaphambi kosuku, ngomhla, nasemva kosuku lwakho.

Ngexesha lenkqubo unokuziva:

• Ukuphazamiseka okuthobekileyo ngelixa kufakwa iprojekhthi
• Ukuhlaba ngokufutshane xa isampulu ithathwa ngenaliti ye-biopsy

Emva kwenkqubo, unokuba:

• Ukudakumba kwi-rectum yakho
• Inani elincinci legazi kwizitulo zakho, umchamo, okanye incindi yobudoda, enokuhlala iintsuku ukuya kwiiveki
• Ukuphuma okukhanyayo kwi-rectum yakho

Ukuthintela usulelo emva kwe-biopsy, umboneleli wakho unokumisela i-antibiotics ukuba ithathe iintsuku ezininzi emva kwenkqubo. Qiniseka ukuba uthatha idosi epheleleyo njengoko kuyalelwe.

I-biopsy yenziwa ukujonga umhlaza wedlala lobudoda.

Umboneleli wakho unokucebisa nge-prostate biopsy ukuba:

• Uvavanyo lwegazi lubonisa ukuba unendawo ephezulu kune-prostate ekhethekileyo ye-antigen (PSA)
• Umboneleli wakho ufumanisa iqhuma okanye ukungaqheleki kwiprostate yakho ngexesha lovavanyo lwedijithali

Iziphumo eziqhelekileyo ezivela kwi-biopsy zibonisa ukuba akukho iiseli zomhlaza ezifunyenweyo.

Iziphumo ezilungileyo ze-biopsy zithetha ukuba iiseli zomhlaza zifunyenwe. Ilebhu iya kunika iiseli inqanaba elibizwa ngokuba ngamanqaku eGleason. Oku kunceda ukuqikelela ukuba umhlaza uza kukhula ngokukhawuleza kangakanani. Ugqirha wakho uza kuthetha nawe malunga nokhetho lwakho lonyango.

I-biopsy inokubonisa iiseli ezibonakala zingaqhelekanga, kodwa zisenokuba okanye zingabi ngumhlaza. Umboneleli wakho uya kuthetha nawe malunga namanyathelo oza kuwathatha. Unokufuna enye i-biopsy.

I-prostate biopsy ikhuselekile ngokubanzi. Iingozi zibandakanya:

• Usulelo okanye i-sepsis (usulelo olukhulu lwegazi)
• Ingxaki yokudlulisa umchamo
• Ukunyanga kwamayeza
• Ukopha okanye ukugruzuka kwindawo ye-biopsy

Iprostate gland biopsy; Utshintsho lwe-prostate biopsy; Inaliti ye-biopsy ye-Prostate; I-biopsy engundoqo yeprotate; Ithagethi yeprostate biopsy; I-Prostate biopsy - i-transrectal ultrasound (i-TRUS); Istereotactic transperineal Prostate biopsy (STPB)

• I-anatomy yokuzala eyindoda

I-Babayan RK, Katz MH. I-Biopsy prophylaxis, ubuchule, iingxaki, kunye nokuphinda i-biopsies. Ku: Mydlo JH, Godec CJ, ii-eds. Umhlaza weSibeletho: Inzululwazi kunye nokuziqhelanisa neKlinikhi. Ngomhla wesi-2. I-Waltham, MA: Elsevier; 2016: isahluko 9.

I-Trabulsi EJ, iHalpern EJ, iGomella LG. Iprostate biopsy: ubuchule kunye nokucinga. Ku: UPartin AW, uDmochowski RR, uKavoussi LR, ii-eds. ICampbell-Walsh-Wein Urology. Umhla we-12. IPhiladelphia, PA: Elsevier; 2020: isahluko 150.